vasovagal syncope

Hi

In the past month i have had a pacemaker inserted, for a condition
known as vasovagal syncope. I believe that this condition usually has
some underlying cause, i wonder if any of you may know what this maybe
as since i have had the pacemaker my doctor says that i don't need to
see him again, only to attend the cardiology clinic to have the
pacemaker checked every now and then.

My problem is that i'm a little concerned about this underlying cause
and wonder if anyone can shed any light on this matter because i am
also getting out of breath sometimes, and also experiencing a
tingling sensation in my wrists which i never had before.

thanks
steve

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